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Texas rates for HCPCS 51880

Closure of cystostomy (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$521.00 / $2,221.00 / $7,542.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,384.65 / $4,558.00 / $8,904.69
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.08 / $421.08 / $421.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,376.10 / $2,376.10 / $2,376.10
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,388.90 / $12,000.00 / $12,000.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.70 / $622.28 / $1,032.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.70 / $626.42 / $1,180.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.00 / $3,314.00 / $7,600.00